Individual provider Active NPI

Gayla Marie Davis, MSN, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Oelwein, IA
National Provider Identifier
1033567375
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A114118 Issued in IA
Practice address
129 8TH Ave SE
Oelwein, IA 50662-2352
Phone
(319) 283-6153
Fax
(319) 283-6151
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A114118 IA Primary

Addresses

Primary practice location

129 8TH Ave SE
Oelwein, IA 50662-2352

Mailing address

129 8TH Ave SE
Oelwein, IA 50662-2352
Phone (319) 283-6153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160816000268 IA Practitioner - Nurse Practitioner 9436443371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

129 8TH Ave SE
Mercyone Oelwein Family Medicine
Oelwein, IA 50662-2352
Phone (319) 283-6153

Hospital & facility affiliations

  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
  • Mercyone Oelwein Medical Center Hospital, Oelwein, IA, CCN 161338
  • Sartori Memorial Hospital, Inc Hospital, Cedar Falls, IA, CCN 160040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. CurrentSince Aug 8, 2016 Accepting new patients
Covenant Medical Center Inc CurrentSince Aug 8, 2016 Accepting new patients

Locations

751 Main St
Arlington, IA 50606
Phone (563) 633-6965

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

129 8th Ave SE
Oelwein, IA 50662
Phone (319) 283-6153

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

Interoperability endpoints

  • Direct secure messaging: gdavis3930997@direct.trinity-health.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1033567375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 8TH AVE SE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506622352",
            "telephone_number": "319-283-6153",
            "fax_number": "319-283-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 8TH AVE SE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506622352",
            "telephone_number": "319-283-6153",
            "fax_number": "319-283-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A114118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oelwein, IA

Sources for this page

Verify at the official NPI Registry.